Barriers and Facilitators of Implementing a Community and Faith-Based Intervention to Increase Eye Care Utilization in Black Americans.

Am J Ophthalmol

Department of Ophthalmology and Visual Sciences (P.A.N-C., A.R.E.), W.K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, Michigan, USA; Institute for Healthcare Policy and Innovation (P.A.N-C, A.R.E.), University of Michigan, Ann Arbor, Michigan, USA. Electronic address: aelam@

Published: September 2025


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Article Abstract

Purpose: To identify the determinants to successfully implement a community-based intervention to increase eye care utilization in individuals at high-risk for eye diseases.

Design: Qualitative study with semi-structured interviews.

Methods: Semi-structured qualitative interviews were conducted with community members in Detroit, Michigan at a trusted community site. Participants were Black Americans at least 40 years of age. A codebook of themes was developed through an iterative process and analyzed using Dedoose.

Results: Narrative themes emerged under 2 overarching categories: barriers and facilitators. The number of themes identified were 15 and 14 for barriers and facilitators, respectively. All perceived barriers and facilitators fell into one or more domains of the social determinants of health model.

Conclusions: Identifying facilitators and eliminating barriers to eye care in Black and low-income communities is essential to successful implementation of interventions to increase eye care utilization. Understanding how these determinants align with social determinants of health may be helpful in designing community-based interventions. Community-based participatory research methods are critical to achieving equity in eye care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350066PMC
http://dx.doi.org/10.1016/j.ajo.2025.05.006DOI Listing

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